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Washington rates for HCPCS J1453

Injection, fosaprepitant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $39.06 / $281.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.11 / $28.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $95.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $306.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.12
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.93 / $4.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.85 / $4.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $70.00 / $80.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.13 / $0.25
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.43 / $0.43
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.18 / $0.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.64 / $2.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12